27800000002-52376 — Valve Aortic 34mm Evolut Fx
Cite this view
HANK Price Transparency. (n.d.). VALVE AORTIC 34MM EVOLUT FX (CDM 27800000002-52376) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/27800000002-52376?code_type=CDM
“VALVE AORTIC 34MM EVOLUT FX (CDM 27800000002-52376) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/27800000002-52376?code_type=CDM. Accessed .
“VALVE AORTIC 34MM EVOLUT FX (CDM 27800000002-52376) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/27800000002-52376?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $44,550–$116,428 (25th–75th percentile) across 8 hospitals · 57 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 27800000002-52376 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.
Hospital rates (per row)
Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.
| Hospital | Payer | Plan | Negotiated rate | Gross | Cash | Observed | Source |
|---|---|---|---|---|---|---|---|
| MERCY CATHOLIC MEDICAL CENTER- MERCY FITZGERALD OutpatientFacility | Independence Blue Cross | HMO_PPO | $211.00 | $165,000.00 | $107,745.00 | 2025-01-01 | MRF ↗ |
| NAZARETH HOSPITAL OutpatientFacility | Independence Blue Cross | Traditional | $211.00 | $165,000.00 | $97,845.00 | 2025-01-01 | MRF ↗ |
| MERCY CATHOLIC MEDICAL CENTER- MERCY FITZGERALD OutpatientFacility | Independence Blue Cross | Traditional | $211.00 | $165,000.00 | $107,745.00 | 2025-01-01 | MRF ↗ |
| NAZARETH HOSPITAL OutpatientFacility | Independence Blue Cross | HMO_PPO | $211.00 | $165,000.00 | $113,850.00 | 2025-01-01 | MRF ↗ |
| ST MARY MEDICAL CENTER OutpatientFacility | Independence Blue Cross | Traditional | $223.00 | $165,000.00 | $104,280.00 | 2025-01-01 | MRF ↗ |
| ST FRANCIS HOSPITAL OutpatientFacility | Independence Blue cross | HMO_PPO | $223.00 | $165,000.00 | $66,000.00 | 2025-01-01 | MRF ↗ |
| ST MARY MEDICAL CENTER OutpatientFacility | Independence Blue Cross | HMO_PPO | $233.00 | $165,000.00 | $104,280.00 | 2025-01-01 | MRF ↗ |
| ST MARY'S HOSPITAL OutpatientFacility | Cigna | All products | $258.00 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL OutpatientFacility | AvMed | All Products | $323.00 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL OutpatientFacility | AvMed | All Products | $323.00 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL OutpatientFacility | Humana | PPO_HMO | $1,973.00 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL OutpatientFacility | Humana | PPO_HMO | $1,973.00 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL OutpatientFacility | Aetna | QHP | $3,815.00 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL OutpatientFacility | Aetna | QHP | $3,815.00 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL OutpatientFacility | Cigna | Local Plus | $4,436.00 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL OutpatientFacility | Cigna | Surefit | $4,436.00 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL OutpatientFacility | Cigna | Individual Family Plan | $4,436.00 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL OutpatientFacility | Cigna | Surefit | $4,436.00 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL OutpatientFacility | Cigna | Individual Family Plan | $4,436.00 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL OutpatientFacility | Cigna | Local Plus | $4,436.00 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL OutpatientFacility | Cigna | HMO | $4,984.00 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL OutpatientFacility | Cigna | Open Access | $4,984.00 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL OutpatientFacility | Cigna | Network Benefit | $4,984.00 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL OutpatientFacility | Cigna | Network Benefit | $4,984.00 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL OutpatientFacility | Cigna | HMO | $4,984.00 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL OutpatientFacility | Cigna | Open Access | $4,984.00 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| TY COBB REGIONAL MEDICAL CENTER, LLC OutpatientFacility | Aetna | All Products | $9,200.00 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| ST MARY'S HOSPITAL OutpatientFacility | Aetna | All Products | $9,200.00 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | $22,605.00 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | $22,605.00 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| ST MARY MEDICAL CENTER InpatientFacility | Cigna | Open Access_Network Benefit | $23,430.00 | $165,000.00 | $104,280.00 | 2025-01-01 | MRF ↗ |
| ST MARY MEDICAL CENTER InpatientFacility | Cigna | Individual Family Plan | $23,430.00 | $165,000.00 | $104,280.00 | 2025-01-01 | MRF ↗ |
| ST MARYS GOOD SAMARITAN HOSPITAL InpatientFacility | Anthem | Pathway Program | $31,894.50 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL BothFacility | AvMed | Medicare Advantage | $33,000.00 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL BothFacility | AvMed | Medicare Advantage | $33,000.00 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| MERCY CATHOLIC MEDICAL CENTER- MERCY FITZGERALD OutpatientFacility | Aetna | Medicare Advantage | $36,960.00 | $165,000.00 | $107,745.00 | 2025-01-01 | MRF ↗ |
| ST MARY MEDICAL CENTER OutpatientFacility | Aetna | Medicare Advantage | $40,920.00 | $165,000.00 | $104,280.00 | 2025-01-01 | MRF ↗ |
| MERCY CATHOLIC MEDICAL CENTER- MERCY FITZGERALD OutpatientFacility | Oscar | Medicare Advantage | $41,250.00 | $165,000.00 | $107,745.00 | 2025-01-01 | MRF ↗ |
| NAZARETH HOSPITAL OutpatientFacility | Oscar | Medicare Advantage | $41,250.00 | $165,000.00 | $113,850.00 | 2025-01-01 | MRF ↗ |
| ST MARY MEDICAL CENTER OutpatientFacility | Oscar | Medicare Advantage | $41,250.00 | $165,000.00 | $104,280.00 | 2025-01-01 | MRF ↗ |
| ST MARYS GOOD SAMARITAN HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | $44,550.00 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL BothFacility | AvMed | Select | $44,550.00 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| ST MARYS GOOD SAMARITAN HOSPITAL OutpatientFacility | UHC | Medicare Advantage | $44,550.00 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| ST MARYS GOOD SAMARITAN HOSPITAL OutpatientFacility | Anthem BCBS | Medicare Advantage | $44,550.00 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| ST MARYS GOOD SAMARITAN HOSPITAL OutpatientFacility | VACCN United | Veterans Affairs | $44,550.00 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| ST MARYS GOOD SAMARITAN HOSPITAL OutpatientFacility | Humana | Medicare Advantage | $44,550.00 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| ST MARYS GOOD SAMARITAN HOSPITAL OutpatientFacility | Caresource | Medicare Advantage | $44,550.00 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| ST MARYS GOOD SAMARITAN HOSPITAL OutpatientFacility | Coventry | Medicare Advantage | $44,550.00 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| ST MARYS GOOD SAMARITAN HOSPITAL OutpatientFacility | Care Improvement Plus | Medicare Advantage | $44,550.00 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL BothFacility | AvMed | Select | $44,550.00 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| ST MARYS GOOD SAMARITAN HOSPITAL OutpatientFacility | Eon Health Plan | Medicare Advantage | $44,550.00 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| ST MARYS GOOD SAMARITAN HOSPITAL OutpatientFacility | Todays Options PFFS | Medicare Advantage | $44,550.00 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| ST MARYS GOOD SAMARITAN HOSPITAL OutpatientFacility | Centene | Medicare Advantage | $44,550.00 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| ST MARYS GOOD SAMARITAN HOSPITAL OutpatientFacility | Kaiser Permanente | Medicare Advantage | $44,550.00 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| ST MARYS GOOD SAMARITAN HOSPITAL OutpatientFacility | Pruitthealth Premier | Medicare Advantage | $44,550.00 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| ST MARYS GOOD SAMARITAN HOSPITAL OutpatientFacility | Cigna HealthSpring | Medicare Advantage | $44,550.00 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| ST MARYS GOOD SAMARITAN HOSPITAL OutpatientFacility | Wellcare | Medicare Advantage | $44,550.00 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| ST MARYS GOOD SAMARITAN HOSPITAL OutpatientFacility | Ambetter | Medicare Advantage | $44,550.00 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| ST MARYS GOOD SAMARITAN HOSPITAL OutpatientFacility | Molina | Medicare Advantage | $44,550.00 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| ST MARYS GOOD SAMARITAN HOSPITAL OutpatientFacility | Todays Options PPO | Medicare Advantage | $44,550.00 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL BothFacility | AvMed | HMO | $47,850.00 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL BothFacility | AvMed | HMO | $47,850.00 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| NAZARETH HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | $48,675.00 | $165,000.00 | $97,845.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL OutpatientFacility | BCBS FL | HMO | $51,150.00 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL OutpatientFacility | BCBS FL | HMO | $51,150.00 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| ST MARYS GOOD SAMARITAN HOSPITAL OutpatientFacility | Anthem | Pathway Program | $55,935.00 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| ST FRANCIS HOSPITAL OutpatientFacility | Amerihealth Caritas of DE | Medicaid | $57,750.00 | $165,000.00 | $66,000.00 | 2025-01-01 | MRF ↗ |
| ST FRANCIS HOSPITAL OutpatientFacility | Highmark Health Options DE | Medicaid | $64,515.00 | $165,000.00 | $66,000.00 | 2025-01-01 | MRF ↗ |
| ST MARY MEDICAL CENTER InpatientFacility | United Healthcare | All Products | $68,145.00 | $165,000.00 | $104,280.00 | 2025-01-01 | MRF ↗ |
| ST MARY MEDICAL CENTER InpatientFacility | UHC | Options PPO | $68,145.00 | $165,000.00 | $104,280.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL BothFacility | First Health | All Products | $73,590.00 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL BothFacility | First Health | All Products | $73,590.00 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL BothFacility | Aetna | First health International | $73,590.00 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL BothFacility | Aetna | First health International | $73,590.00 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| ST MARY MEDICAL CENTER OutpatientFacility | UHC | Options PPO | $79,860.00 | $165,000.00 | $104,280.00 | 2025-01-01 | MRF ↗ |
| ST MARY MEDICAL CENTER OutpatientFacility | United Healthcare | All Products | $79,860.00 | $165,000.00 | $104,280.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL BothFacility | Memorial Integrated Health | All Products | $80,685.00 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL BothFacility | Memorial Integrated Health | All Products | $80,685.00 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| NAZARETH HOSPITAL OutpatientFacility | Cigna | Individual Family Plan | $82,500.00 | $165,000.00 | $97,845.00 | 2025-01-01 | MRF ↗ |
| MERCY CATHOLIC MEDICAL CENTER- MERCY FITZGERALD OutpatientFacility | Cigna | Individual Family Plan | $82,500.00 | $165,000.00 | $107,745.00 | 2025-01-01 | MRF ↗ |
| MERCY CATHOLIC MEDICAL CENTER- MERCY FITZGERALD OutpatientFacility | Cigna | Open Access_Network Benefit | $82,500.00 | $165,000.00 | $93,555.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL OutpatientFacility | Bridge Health | All Products | $82,500.00 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| NAZARETH HOSPITAL OutpatientFacility | Cigna | Open Access_Network Benefit | $82,500.00 | $165,000.00 | $97,845.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL OutpatientFacility | Bridge Health | All Products | $82,500.00 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL InpatientFacility | Cigna | Network Benefit | $83,325.00 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL InpatientFacility | Cigna | Network Benefit | $83,325.00 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL InpatientFacility | Cigna | HMO | $83,325.00 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL InpatientFacility | Cigna | Open Access | $83,325.00 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL InpatientFacility | Cigna | Open Access | $83,325.00 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL InpatientFacility | Cigna | HMO | $83,325.00 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| ST MARYS GOOD SAMARITAN HOSPITAL InpatientFacility | Anthem | HMO | $83,770.50 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| ST MARYS GOOD SAMARITAN HOSPITAL InpatientFacility | Anthem | PPO | $83,770.50 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL InpatientFacility | Aetna | Gatekeeper/Nongatekeeper | $84,645.00 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL InpatientFacility | Aetna | Gatekeeper/Nongatekeeper | $84,645.00 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL InpatientFacility | Aetna | Global Benefits | $86,295.00 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL InpatientFacility | Aetna | All Products | $86,295.00 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL InpatientFacility | Aetna | Global Benefits | $86,295.00 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL InpatientFacility | Aetna | All Products | $86,295.00 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL OutpatientFacility | Aetna | Global Benefits | $87,285.00 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL OutpatientFacility | Aetna | All Products | $87,285.00 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL OutpatientFacility | Aetna | Global Benefits | $87,285.00 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL OutpatientFacility | Aetna | All Products | $87,285.00 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| MERCY CATHOLIC MEDICAL CENTER- MERCY FITZGERALD InpatientFacility | UHC | Options PPO | $93,555.00 | $165,000.00 | $107,745.00 | 2025-01-01 | MRF ↗ |
| TY COBB REGIONAL MEDICAL CENTER, LLC BothFacility | UHC | All Products | $96,855.00 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| TY COBB REGIONAL MEDICAL CENTER, LLC BothFacility | United Healthcare | All Products | $96,855.00 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| ST MARY MEDICAL CENTER BothFacility | HEALTH AMERICA | All Products | $98,670.00 | $165,000.00 | $104,280.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL BothFacility | DESJARDINS FINANCIAL SECURITY LIFE ASSURANCE | All Products | $99,000.00 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL BothFacility | AXA ASSISTANCE US | All Products | $99,000.00 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL BothFacility | GUARDIAN | All Products | $99,000.00 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL BothFacility | GLOBAL MEDICAL MANAGEMENT | All Products | $99,000.00 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL BothFacility | ALLIANZ GLOBAL ASSISTANCE | All Products | $99,000.00 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL BothFacility | AXIS SERVICES | All Products | $99,000.00 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL BothFacility | CMN GLOBAL | All Products | $99,000.00 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL BothFacility | DESJARDINS FINANCIAL SECURITY LIFE ASSURANCE | All Products | $99,000.00 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL BothFacility | GLOBAL HEALTH CLAIM SERVICES | All Products | $99,000.00 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL BothFacility | Morgan White Administrators International | All Products | $99,000.00 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL BothFacility | NATIONAL HEALTHCARE SOLUTIONS | All Products | $99,000.00 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL BothFacility | OLYMPUS MANAGED HEALTH CARE | All Products | $99,000.00 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL BothFacility | PENFIELD CARE | All Products | $99,000.00 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL BothFacility | QUALITY HEALTH MANAGEMENT | All Products | $99,000.00 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL BothFacility | Sanus Healthcare | All Products | $99,000.00 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL BothFacility | GUARDIAN | All Products | $99,000.00 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL BothFacility | GLOBAL MEDICAL MANAGEMENT | All Products | $99,000.00 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL BothFacility | ALLIANZ GLOBAL ASSISTANCE | All Products | $99,000.00 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL BothFacility | AXA ASSISTANCE US | All Products | $99,000.00 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL BothFacility | AXIS SERVICES | All Products | $99,000.00 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL BothFacility | CMN GLOBAL | All Products | $99,000.00 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL BothFacility | GLOBAL HEALTH CLAIM SERVICES | All Products | $99,000.00 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL BothFacility | Morgan White Administrators International | All Products | $99,000.00 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL BothFacility | NATIONAL HEALTHCARE SOLUTIONS | All Products | $99,000.00 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL BothFacility | OLYMPUS MANAGED HEALTH CARE | All Products | $99,000.00 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL BothFacility | PENFIELD CARE | All Products | $99,000.00 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL BothFacility | QUALITY HEALTH MANAGEMENT | All Products | $99,000.00 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL BothFacility | Sanus Healthcare | All Products | $99,000.00 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL BothFacility | SUNMED INTERNATIONAL | All Products | $102,300.00 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL BothFacility | SUNMED INTERNATIONAL | All Products | $102,300.00 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| NAZARETH HOSPITAL InpatientFacility | United Healthcare | All Products | $103,290.00 | $165,000.00 | $97,845.00 | 2025-01-01 | MRF ↗ |
| NAZARETH HOSPITAL InpatientFacility | UHC | Options PPO | $103,290.00 | $165,000.00 | $97,845.00 | 2025-01-01 | MRF ↗ |
| NAZARETH HOSPITAL BothFacility | HEALTH AMERICA | All Products | $105,930.00 | $165,000.00 | $97,845.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL InpatientFacility | Aetna | First Health Non International | $106,755.00 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL InpatientFacility | Aetna | First Health Non International | $106,755.00 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL BothFacility | Star Healthcare Network | PPO | $107,250.00 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL BothFacility | Star Healthcare Network | PPO | $107,250.00 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| MERCY CATHOLIC MEDICAL CENTER- MERCY FITZGERALD OutpatientFacility | UHC | Options PPO | $107,745.00 | $165,000.00 | $93,555.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL OutpatientFacility | First Health | All Products | $108,240.00 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL OutpatientFacility | First Health | All Products | $108,240.00 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL OutpatientFacility | Aetna | First Health Non International | $108,240.00 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL OutpatientFacility | Aetna | First Health Non International | $108,240.00 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| NAZARETH HOSPITAL OutpatientFacility | United Healthcare | All Products | $112,530.00 | $165,000.00 | $97,845.00 | 2025-01-01 | MRF ↗ |
| NAZARETH HOSPITAL OutpatientFacility | UHC | Options PPO | $112,860.00 | $165,000.00 | $97,845.00 | 2025-01-01 | MRF ↗ |
| MERCY CATHOLIC MEDICAL CENTER- MERCY FITZGERALD BothFacility | HEALTH AMERICA | All Products | $113,355.00 | $165,000.00 | $107,745.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL BothFacility | UNICARE | All Products | $115,500.00 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| TY COBB REGIONAL MEDICAL CENTER, LLC InpatientFacility | COVENTRY | All Products | $115,500.00 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL BothFacility | UNICARE | All Products | $115,500.00 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| TY COBB REGIONAL MEDICAL CENTER, LLC InpatientFacility | First Health | All Products | $115,500.00 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL BothFacility | PHCS | All Products | $115,500.00 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL InpatientFacility | International Generic | All Products | $115,500.00 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL InpatientFacility | International Generic | All Products | $115,500.00 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL BothFacility | PHCS | All Products | $115,500.00 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| ST MARYS GOOD SAMARITAN HOSPITAL OutpatientFacility | Anthem | HMO | $119,212.50 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| ST MARYS GOOD SAMARITAN HOSPITAL OutpatientFacility | Anthem | PPO | $119,212.50 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| ST MARYS GOOD SAMARITAN HOSPITAL BothFacility | First Health | All Products | $123,750.00 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| ST MARYS GOOD SAMARITAN HOSPITAL BothFacility | Humana | All Products | $123,750.00 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| ST MARYS GOOD SAMARITAN HOSPITAL BothFacility | PHCS | All Products | $123,750.00 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| ST MARYS GOOD SAMARITAN HOSPITAL BothFacility | COVENTRY | All Products | $123,750.00 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| ST MARY'S HOSPITAL BothFacility | Evolutions PPO | All Products | $132,000.00 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| ST MARYS GOOD SAMARITAN HOSPITAL BothFacility | Aetna | All Products | $132,000.00 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| ST MARYS GOOD SAMARITAN HOSPITAL BothFacility | MERITAIN | All Products | $132,000.00 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| ST MARYS GOOD SAMARITAN HOSPITAL BothFacility | Cigna | All products | $135,300.00 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| ST MARYS GOOD SAMARITAN HOSPITAL InpatientFacility | NOVA | All Products | $140,250.00 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| TY COBB REGIONAL MEDICAL CENTER, LLC OutpatientFacility | First Health | All Products | $140,250.00 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| TY COBB REGIONAL MEDICAL CENTER, LLC OutpatientFacility | COVENTRY | All Products | $140,250.00 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| TY COBB REGIONAL MEDICAL CENTER, LLC BothFacility | NOVA | All Products | $140,250.00 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| NAZARETH HOSPITAL BothFacility | DEVON HEALTH SERVICES | All Products | $140,250.00 | $165,000.00 | $97,845.00 | 2025-01-01 | MRF ↗ |
| ST MARYS GOOD SAMARITAN HOSPITAL BothFacility | Multiplan | All Products | $140,250.00 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| NAZARETH HOSPITAL BothFacility | Multiplan | All Products | $140,250.00 | $165,000.00 | $97,845.00 | 2025-01-01 | MRF ↗ |
| MERCY CATHOLIC MEDICAL CENTER- MERCY FITZGERALD BothFacility | Multiplan | All Products | $140,250.00 | $165,000.00 | $93,555.00 | 2025-01-01 | MRF ↗ |
| MERCY CATHOLIC MEDICAL CENTER- MERCY FITZGERALD BothFacility | DEVON HEALTH SERVICES | All Products | $140,250.00 | $165,000.00 | $93,555.00 | 2025-01-01 | MRF ↗ |
| ST MARYS GOOD SAMARITAN HOSPITAL BothFacility | Multiplan | All Products | $143,550.00 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL InpatientFacility | Multiplan | All Products | $145,200.00 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL InpatientFacility | First Health | All Products | $145,200.00 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL InpatientFacility | Multiplan | All Products | $145,200.00 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL InpatientFacility | First Health | All Products | $145,200.00 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| ST MARY MEDICAL CENTER BothFacility | PRIME HEALTH SERVICES | All Products | $148,500.00 | $165,000.00 | $104,280.00 | 2025-01-01 | MRF ↗ |
| ST MARY MEDICAL CENTER BothFacility | Multiplan | All Products | $148,500.00 | $165,000.00 | $104,280.00 | 2025-01-01 | MRF ↗ |
| NAZARETH HOSPITAL BothFacility | PRIME HEALTH SERVICES | All Products | $148,500.00 | $165,000.00 | $97,845.00 | 2025-01-01 | MRF ↗ |
| MERCY CATHOLIC MEDICAL CENTER- MERCY FITZGERALD BothFacility | PRIME HEALTH SERVICES | All Products | $148,500.00 | $165,000.00 | $107,745.00 | 2025-01-01 | MRF ↗ |
| NAZARETH HOSPITAL BothFacility | Galaxy Health Network | All Products | $148,500.00 | $165,000.00 | $97,845.00 | 2025-01-01 | MRF ↗ |
| MERCY CATHOLIC MEDICAL CENTER- MERCY FITZGERALD BothFacility | Galaxy Health Network | All Products | $148,500.00 | $165,000.00 | $107,745.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL OutpatientFacility | International Generic | All Products | $148,500.00 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| ST MARYS GOOD SAMARITAN HOSPITAL OutpatientFacility | NOVA | All Products | $148,500.00 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| ST MARYS GOOD SAMARITAN HOSPITAL BothFacility | Three Rivers Provider Network | All Products | $148,500.00 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL OutpatientFacility | International Generic | All Products | $148,500.00 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| ST FRANCIS HOSPITAL BothFacility | Multiplan | All Products | $156,750.00 | $165,000.00 | $66,000.00 | 2025-01-01 | MRF ↗ |
| ST MARY MEDICAL CENTER BothFacility | Three Rivers Provider Network | All Products | $156,750.00 | $165,000.00 | $104,280.00 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL OutpatientFacility | Multiplan | All Products | $156,750.00 | $165,000.00 | $107,250.00 | 2025-01-01 | MRF ↗ |
| NAZARETH HOSPITAL BothFacility | Three Rivers Provider Network | All Products | $156,750.00 | $165,000.00 | $97,845.00 | 2025-01-01 | MRF ↗ |
| MERCY CATHOLIC MEDICAL CENTER- MERCY FITZGERALD BothFacility | Three Rivers Provider Network | All Products | $156,750.00 | $165,000.00 | $93,555.00 | 2025-01-01 | MRF ↗ |
| ST FRANCIS HOSPITAL BothFacility | DEVON HEALTH SERVICES | All Products | $156,750.00 | $165,000.00 | $66,000.00 | 2025-01-01 | MRF ↗ |
| ST FRANCIS HOSPITAL BothFacility | PRIME HEALTH SERVICES | All Products | $156,750.00 | $165,000.00 | $66,000.00 | 2025-01-01 | MRF ↗ |
Showing the first 200 rate rows. The CSV export above returns up to 1,000 rows — filter by state to narrow a code with more than that.